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General NPI Number Information
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NPI Number | 1669832960
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Entity Type | Individual
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Provider Name | MARK A. MARKLAND FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 870 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11225-1510
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Country | US
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Telephone | 929-689-0253
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Fax |
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Provider Business Mailing Address
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Address Line | 114110 230TH ST
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1326
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Country | US
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Telephone | 347-510-8173
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Fax | 718-313-4389
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 33 340170
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F340170
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License Number State | NY
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